Metri S.S.,Hassan Institute of Medical science
Journal of Clinical and Diagnostic Research | Year: 2013
Introduction: Snake bite is a common medical emergency and an occupational hazard, more so in tropical India, where farming is a major source of employment. Viper bites are more common than other poisonous snakebites in humans. The World Health Organization has estimated that there are approximately 1,25,000 deaths among 2,50,000 poisonous snake bites worldwide every year, of which India accounts for 10,000 deaths. Acute kidney Injury (AKI) is an important consequence of a snake bite and its proper supportive management after the anti-venom administration is of utmost importance, for a good patient outcome. Aims and Objectives: 1. To assess the risk factors and the prognostic factors in snake-bite induced Acute Kidney Injury. 2. To determine the outcome of snake bite patients with AKI in a tertiary care centre in Karnataka, India. Methodology: This prospective study was carried out at Vijaynagar Institute of Medical Sciences, Bellary, Karnataka, India. This institute is a referral government hospital in north Karnataka, India. Study Design: This was a prospective and descriptive type of study. Results: A total of 246 cases of venomous snakebite were included in this study, who were admitted in the hospital from November 2007 to October 2008. Among the AKI and the non-AKI patients, Illiteracy was more among the patients who suffered from AKI (75%). In our study, among all the patients (both AKI and non-AKI patients), viper bite was the commonest and it was seen in 31(91.6%) cases among the AKI patients and in 142 (67.6%) cases among the non-AKI patients. In our study, a majority of the patients who developed AKI had initially visited traditional healers before visiting our hospital, which was found to be statistically significant. In the present study, disseminated intravascular coagulation (DIC) and intravascular haemolysis were found to be predominant among the AKI patients. The "Bite to Needle" time was significantly more in the patients who developed AKI as compared to that in those who developed non-AKI. Out of 36 patients who suffered from AKI, 28 (77.7%) patients survived. Among them, 27(96.7%) patients developed cellulitis, 25(89.5%) had regional lymphadenopathy, 22(81.2%) were bitten at their lower limbs, and 6 (23.8%) patients developed bleeding manifestations. Conclusion: This study concludes that acute kidney injury occurs in 14.6% of the victims of snake bite. The common manifestations include cellulitis, bleeding manifestations and gangrene at the site of the bite.
Nalini G.K.,Hassan Institute of Medical science
British Journal of Medical Practitioners | Year: 2010
The aim of the present study was to evaluate the self-medication of self-prescribed antibiotics among government doctors in the Hassan district. A close and open-ended questionnaire was used to collect data from a sample of 160 Government doctors, randomly chosen from Hassan district. Data was collected using a self assessing questionnaire. Data was entered and analyzed using SPSS 14 and the results were presented as a percentage. Out of 160 doctors only 97.5% filled and returned the questionnaires. Self-medication with antibiotics was reported by 53% of doctors during the cross sectional study at a CME programme in Hassan Institute Medical Sciences, Hassan within 6 months prior to the study. The main indication for self-medication with antibiotics was respiratory problems (73.3%) such as the common cold and sore throats. Amoxicillin was the most commonly used antibiotic (40%). The main source of medicines was drugs from medical representatives (47.8%, samples), drug stores (44.8%, self-prescribed) and the government hospital pharmacy (7.4%). Only 26.8% of antibiotic users completed the course. The prevalence of self-medication with antibiotics among doctors is high. Proper prescription writing is an essential skill for doctors in medical profession, as it is the primary intervention that doctors offer to the suffering humanity. Medical students learn the science of prescription from the Medical faculty. Hence educational programs are needed to improve potential problems of self-medication with antibiotics and to minimize the different forms of prescribing errors, by vigorous training programs.
Shivakumar B.C.,P.A. College |
Vishwanath D.,Hassan Institute of Medical science |
Srivastava P.C.,P.A. College
Journal of Indian Academy of Forensic Medicine | Year: 2011
Homicide is the most heinous crime committed against the person due to interpersonal violence and embraces every mode of violent death; today it has become one of the major threats to the modern society and this has been increasing at an alarming rate all over the world including India. This study was conducted on 40 cases of alleged homicide of all age groups during the period of October 2004 to September 2006. Out of 840 total numbers of medico-legal cases autopsied, 40 cases (4.76%) were of alleged homicide. A preponderance of victims (40%) in the age group 21-30 years with M:F ratio 3:1 was observed. 50% of the weapon used for inflicting injuries were sharp cutting weapons followed by blunt weapons (30%);32.5%of homicidal deaths were caused due to enmity. In 50% of cases, victims were known to offenders, 82.5% of victims were literates, 67.5% of the homicides were committed during night time and 55% of the homicides were committed in outdoor. All (100%) homicide victims belonged to urban area.
Gidibidi G.K.,Hassan Institute of Medical science |
Kareemsab D.,Hassan Institute of Medical science |
Rachaiah N.M.,Hassan Institute of Medical science
Journal of Clinical and Diagnostic Research | Year: 2012
Context: Migraine and tension type headache are the two most common types of primary headaches. In spite of the internationally accepted diagnostic criteria, it is not uncommon to face difficulties in diagnosing headache in the clinical practice. Aims: Our aim was to study the socio-demographic profile, classification and the clinical profile of headache patients who attended in a hospital which was located in a semi-urban setting. Settings and Design: A prospective, cross-sectional study. Methods and Materials: Patients mainly presented with the complaint of headache who were more than 12 years of age, were included in the study. The demographic details, the onset and the lifetime duration of the illness, the pattern of headache, the associated features and the family history were recorded. The international classification of headache disorders (ICHD), version 2 was applied. Statistical Analysis: Descriptive analysis was done by using SPSS, version 17.0 Results: 74% of the patients were females and 44% of them were between 29 and 44 years of age. Migraine was the most common disorder (182 patients), followed by tension type headache (99 patients) and cluster headache (3 patients). Conclusion: A number of symptoms that are presently not included in the ICHD-2 classifcation may help in differentiating migraine from the tension type headache.
Sinhasan S.P.,Hassan Institute of Medical science |
Sinhasan S.P.,Indira Gandhi Medical College and Research Institute IGMC and RI |
Puranik R.B.,Karnataka Institute of Medical science |
Kulkarni M.H.,Karnataka Institute of Medical science
Saudi Journal of Gastroenterology | Year: 2011
Background/Aim: Intestinal tuberculosis needs to be considered in the differential diagnosis when patients with intestinal pathology are encountered. Tuberculosis can mimic other disease entities like, ischemic enteritis, inflammatory bowel diseases, malignancies, intussusception etc., clinically as well as morphologically in resected intestinal specimens. We aimed to study the various clinical presentations leading to intestinal resection, with identification of different etiological factors by histopathological examination; and to illustrate, discuss and describe the various histopathological features of the lesions in these resected intestinal specimens with clinicopathological correlation. Materials and Methods: We studied 100 cases of resected intestinal specimens received during September 2002 to December 2003. We totally encountered 22 request forms with clinical suspicion of ileoceocal tuberculosis. Results: Abdominal tenderness and mass in ileoceocal region were noted in all cases. In many instances, the cases were operated for acute/subacute intestinal obstruction. Clinical and intra-operative diagnoses of tubercular enteritis, in many instances, were finally diagnosed histopathologically as ischemic enteritis (nine cases), chronic nonspecific enteritis (four cases), adenocarcinoma of the caecum, Crohn′s disease, intussusception (each one case), and correctly as intestinal tuberculosis in only six cases. Conclusion: Tuberculosis can mimic various disease entities, clinically and sometimes morphologically. Vice versa is also true. An increased awareness of intestinal tuberculosis coupled with varied clinical presentations, nonspecific signs and symptoms, difficulties in diagnostic methods and need of early and specific treatment should improve the outcome for patients with this disease.
Chandrakanth H.V.,JSS Medical College |
Kanchan T.,Manipal University India |
Balaraj B.M.,JSS Medical College |
Virupaksha H.S.,Hassan Institute of Medical science |
Chandrashekar T.N.,Mysore Medical College and Research Institute
Journal of Forensic and Legal Medicine | Year: 2013
Estimation of time since death is a paramount medico-legal issue in any postmortem examination. The present study is intended to study the correlation between postmortem interval and vitreous humor chemistry for sodium, potassium, and chlorides. The study is aimed to find male-female differences and differences between right and left eyes in vitreous chemistry. The vitreous humor samples were collected in 114 autopsies conducted in the study center and analyzed biochemically. All the cases where exact time of death was known and where the time since death ranged between 0 and 36 h were included in the study. Data obtained was analyzed statistically using spss version 11.0. The present research did not find a significant correlation between vitreous chemistry and postmortem interval. The differences in vitreous sodium, potassium, chloride levels and the sodium potassium ratio among males and females and between right and left eyes were not found to be statistically significant. © 2012 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.
Ravikumar B.C.,Hassan Institute of Medical science |
Balakrishna P.,Hassan Institute of Medical science
Indian Journal of Dermatology | Year: 2013
Several intricacies still abound with respect to HIV infection. Discordance is one such intriguing aspect of HIV infection. Out of 35 discordant couples included in the study. husbands were positive in 29 couples and wives in 6. Pre/extramarital affairs was the probable reason for HIV infection in 23 out of 29 discordant males, and 2 out of 6 discordant females. Even though, decreased frequency of sexual acts between the couple was the reason for discordance in a few, but in majority of the couples who had regular sexual contact for many years, the exact cause for discordance could not be ascertained. inherent resistance to HIV in some individuals may be the reasons for the discordance.
Karimsab D.,Hassan Institute of Medical science
Nepalese journal of ophthalmology : a biannual peer-reviewed academic journal of the Nepal Ophthalmic Society : NEPJOPH | Year: 2013
Normal bacterial flora may be altered by a variety of factors. Objective: To study the aerobic bacterial conjunctival flora in patients with diabetes mellitus and to find its clinical significance by comparing the results to the conjunctival flora of non-diabetic subjects. A total of 75 diabetic patients were included as cases and 25 nondiabetics as controls to compare the results. Specimens for the study of conjunctival flora were taken by rubbing sterile cotton-tipped swabs to the inferior palbebral conjunctiva. The conjunctival culture report of the patients with diabetic mellitus was compared to that of nondiabetic subjects. Positive conjunctival cultures were seen in a higher percentage of patients with diabetes (unilateral and bilateral positive conjunctival cultures 34.66 % and 58.66 % respectively) compared to that in non-diabetic controls (unilateral and bilateral positive conjunctival cultures 24 % and 16 % respectively). Diabetics showed a higher proportion of coagulase negative staphylococci (45.33 %), compared to the non-diabetic group (16 %). Among the diabetic patients, positive conjunctival cultures were detected more frequently in those with diabetic retinopathy compared to those without retinopathy. A higher proportions of bilateral positive conjunctival cultures were seen in cases with proliferative diabetic retinopathy (38.63 %) in comparison to patients with no retinopathy and different stages of non-proliferative diabetic retinopathy. The conjunctival floral pattern with increased bacteria in diabetics is a predominant cause of many diabetes-related ocular infections. The presence of diabetic retinopathy is an indicator for increased colonization of conjunctiva, and its severity correlates with the severity of diabetic retinopathy. © NEPjOPH.
Ravikumar B.C.,Hassan Institute of Medical science |
Sinhasan S.,Hassan Institute of Medical science
Indian Journal of Dermatology | Year: 2014
Psoriasis being a common skin condition, atypical forms and unusual localizations of this disease are quite frequently seen. However, psoriasis sparing a polio-affected limb is extremely rare. We report a case of an adult male, who presented with psoriasis distributed all over the body but with almost complete sparing of the polio-affected left lower limb.
Halesha B.R.,Hassan Institute of Medical science |
Harshavardhan L.,Hassan Institute of Medical science |
Lokesh A.J.,Hassan Institute of Medical science |
Channaveerappa P.K.,Hassan Institute of Medical science |
Venkatesh K.B.,Hassan Institute of Medical science
Journal of Clinical and Diagnostic Research | Year: 2013
Background: Snake bite is a common medical emergency and an occupational hazard, more so in tropical India, where farming is a major source of employment. The available data on the epidemiology of snake bite from the Indian subcontinent are sparse. Snake bite is a neglected disease that afflicts the most impoverished inhabitants of the rural areas in the tropical developing countries. Aims: This study was carried out to describe the epidemiology, arrival delays, clinical features, complications, and the outcome of snakebites which were seen in a tertiary care hospital of southern India. Setting: Sri Chamarajendra District Hospital which is attached to the Hassan Institute of Medical Sciences, Hassan, Karnataka, India. Study Design: A record-based, retrospective, descriptive study. Materials and Methods: One hundred eighty patients of snake bite were studied from January 2010 to December 2011. The data on the demographic factors, clinical features and complications, details of the treatment which was received and the outcome of the snake bite victims were recorded and analyzed. Results: Among a total 180 cases of snake bite, there were 108 cases of viper bite which presented with haematotoxic manifestations and 74 elapid bites had neuroparalytic manifestations. The victims were predominantly males (60.5%) and they were aged 20-40 years. A majority of the victims are from the rural areas (81.1%) and most of the bites occurred during the day time (70.5%), mainly on the lower limbs (67.2%). The highest number of cases occurred during July- September. Most of the victims were farmers (54.4%) and plantation workers (30.5%), which suggested that snake bite was an occupational hazard. A reaction to the ASV was noted in 12.7% of the patients and the mortality rate in our study was 3.8%. Conclusion: In the tropics, snake bite is a rural and an occupational hazard among farmers, plantation workers, herders and hunters. Regular public health programmes regarding the prevention, pre -hospital management (first aid) and the importance of the early transfer to the hospital should be emphasized.